Flight (Nurse/Paramedic) - [Part-Time]

The City of Williston is seeking a Flight Nurse/Paramedic [Part-Time] to join the Williston Fire Department.

Summary:

The Flight Nurse/Paramedic provides direct patient care during the transport of patients by fixed-wing airplane and ground ambulance in accordance with established policies, procedures, and patient care guidelines of the City of Williston Fire Department and works within the established scope of practice of the designated governed by State of North Dakota Department of Health and Human Services. The Flight Nurse/Paramedic has the knowledge, skills, and abilities required to initiate, maintain, and/or manage the critical care requirements appropriate for the patients served. The Flight Nurse/Paramedic facilitates the coordination of patient care with our partners in the region while exemplifying the core values of our customer centric organization.

Supervisor: Care Flight Shift Lead & Program Director 

Supervision Exercised: None

FLSA Status: Non-Exempt

Essential Job Duties, Responsibilities, & KSAs:

Essential responsibilities and duties may include, but are not limited to, the following:

• Possess excellent oral communication skills, listening skills, and telephone etiquette.
• Ability to interpret and follow written and oral instructions.
• Ability to operate designated computer software, electronic records management systems, and other equipment as needed to complete tasks.
• Ability to work under pressure with time constraints.
• Ability to respond to common inquiries or complaints from customers, regulatory agencies, organization staff, etc.
• Ability to work independently with minimal supervision.
• Ability to supervise other individuals and resolve personnel issues.
• Ability to concentrate and multitask.
• Ability to establish and maintain an effective working relationship with and present information to coworkers, other staff, supervisors, physicians, vendors, agencies, other healthcare organizations and the public.
• Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
• Ability to define problems, collect data, establish facts and draw valid conclusions.
• Adhere to the strict level of confidentiality set forth by state and federal regulations and facility policies.
• Reports to Care Flight Program Director, or his/her designated appointee.
• Responds to requests for and conduct patient transport in fixed-wing aircraft and ground ambulances.
• Provides high quality critical care in accordance with the patient care guidelines established by the organization.
• Works within established scope of practice applicable to the governing EMS body of the state of transport.
• Participates in company meetings, ongoing education, clinical rotations, and training as required.
• Demonstrates ongoing competence in the use and routine maintenance of all medical equipment, and supplies utilized.
• Demonstrates ongoing competence in the use and routine maintenance of procedures utilized.
• Demonstrates ability to function as a member of the flight crew and ensure the safety of the crew, patients, and other passengers during transport.
• Completes all required documentation prior to the end of duty period or other authorized timeline.
• Assists Pilot in Command with any emergency measures/procedures for sudden adverse developments in aircraft operational conditions as directed by the Pilot in Command.
• Participates in Pilot in Command shift change safety and operational briefings while on duty.
• Assesses, intervenes, and reassesses the patient's condition promptly and takes appropriate action in accordance with patient care guidelines. 
• Identifies the early warning signs of a change in a patient's condition and responds appropriately to a deteriorating patient, including contacting responsible clinicians as indicated by standard operating procedure. Assists with/or institutes emergency measures for sudden adverse developments in patient conditions. 
• Reports pertinent observations and reactions regarding patients to the appropriate multidisciplinary team member and records those observations accurately and concisely.
• Ensures that intervention or referrals are made promptly. Completes and submits all incident reports (patient, visitor, staff) prior to the completion of each shift.
• Establishes and maintains communication and utilizes educational opportunities with patients and other significant individuals. 
• Assigns or delegates, within the scope of practice, education and experience, the responsibility for performance of patient care interventions to other persons for which that person has the necessary skills and competence to accomplish safely.
• Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.
• Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services. 
• Serve as a preceptor to new employees and students.
• Keeps crew quarters, aircraft, and other company locations/spaces clean and in order.
• Maintains professional relationships with the community and City personnel.
• Perform all work duties and activities in accordance with City policies and procedures.  
• Demonstrates knowledge, understanding of, and compliance with:
  1. All pertinent safety, health and environmental policies, procedures and guidelines.
  2. Working safely, without causing harm or risk to self, others or property.
  3. The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader. 
  4. The use of all safety equipment and personal protective equipment. 

NOTE: The functions and duties listed are intended only as illustrations of the various types of work that may be performed and reflect the general details necessary to describe principal functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.  The omission of the specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Flight Nurse

Education and Experience:

• Minimum of three (3) years of experience in critical care or emergency nursing setting.
• Previous air medical/transport experience preferred.
• Working experience with the application and management of critical care interventions (i.e. IPPV, NIPPV, Intubation, etc.).
• Working experience with vasoactive and sedation/pain management medications.

Certificates, Licenses, Registrations:

• Registered Nurse Licensure in the States of ND and MT
• Red Cross ACLS, PALS, and BLS for Health Care Providers (Instructor Certifications preferred)
• TNCC, TPATC, TNATC, ATLS/ATCN, or other CAMTS Approved Advanced Trauma Course
• CFRN, CCRN, or CEN (within 24 months of hire)
• NRP (within 6 months of hire)
• NIMS ICS 100, 200, 700, & 800
• Valid Driver’s License with Acceptable Driving Record

Flight Paramedic

Education and Experience:

• Minimum of three (3) years of experience in a high call volume ALS/Critical Care ground transport system.
• Previous air medical/critical care transport experience preferred.
• Working experience with the application and management of critical care interventions (i.e. IPPV, NIPPV, Intubation, etc.).
• Working experience with vasoactive and sedation/pain management medications.

Certificates, Licenses, Registrations:

• NREMT- Paramedic Certification
• Paramedic Licensure in the States of ND and MT
• Red Cross ACLS, PALS, and BLS for Health Care Providers (Instructor Certifications preferred)
• Advanced Provider ITLS or PHTLS, TPATC, ATLS/ATCN, or other CAMTS Approved Advanced Trauma Course
• FP-C or CCP-C (within 24 months of hire)
• NIMS ICS 100, 200, 700, & 800
• Valid Driver’s License with Acceptable Driving Record

Training opportunities available to obtain desired certifications for incumbents who have met the minimum certificate, license, and registration requirements.

Language Skills:

Ability to read and interpret documents such as safety rules and standard operating guidelines. Ability to write routine reports and correspondence. Ability to speak effectively to patients, crews and groups of customers or employees of an organization.

Mathematical Skills:

Ability to calculate figures and amounts such as medications, weight-based calculations, concentration and volume calculations, infusion rates, IV infusion flow rates, and interpretation of statistical trends in vital signs to formulate treatment plans.

Reasoning Ability:

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. The ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Internal Communications: 

Regular contact within the department and with other departments as needed. Must be able to read and write formal communications with correct grammar, punctuation, and spelling.
  
External Communications:

Regular contact with third parties, outside representatives, community groups, and mutual aid partnerships as needed.

Use of Equipment and/or Computers: 

Regular use of technology and equipment for job-related functions will be required, including but not limited to computers, phones, printers, operation of various department vehicles including fire and EMS apparatus. 

Other Skills and Abilities: 

Ability to utilize both internal and external resources to obtain information and data necessary to carry out routine assignments and special projects. Must have the ability to establish and maintain effective working relationships with management and staff. Must be able to work both independently and in a team environment, using a high level of professionalism and critical thinking. 
  
Physical Demands:

Standing in work areas, walking between work areas, and driving to various locations will be required. There will be a regular expectation to pull, push, reach, walk, stand, sit, crawl, kneel, bend and have the use of hands and fingers, use of both eyes for sight, including ability to distinguish color and distance, hearing, extensive use of arms and legs to climb on top of, under, in and around equipment and facilities; work in proximity and use of computer screens; verbally communicating, and moving objects. The employee must be able to physically move, lift, carry and manipulate up to 100 pounds. 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.      

If requested, reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions and expectations, absent undue hardship to the department.

Annually, the incumbent will be required to participate and produce an acceptable medical evaluation.

Work Environment:

While performing the duties of this job, the employee frequently works in and outside of various locations and weather conditions. The noise level in the work environment is loud.  The employee will work at designated City of Williston Fire Department facilities and designated partner facilities. Work areas are to be kept clean, safe, and functional. The employee may be required to work extended hours including evenings, weekends, and holidays. Work schedules are rotational on a fixed cadence. Employees are expected to work for one (1) week, followed by two (2) weeks off duty. Part-Time employees will be schedule based on operational need.

Any materials, files, documents, electronic tools, or other items collected or created by an employee in connection with their employment remain the property of the City.  Additionally, all material created, transmitted/sent, received, deleted, downloaded, or stored using electronic tools are and remain the property of the City.  Employees have no expectation of privacy when using City property.
 

The City of Williston does not discriminate on the basis of race, color, national origin, sex, genetics, religion, age or disability in employment or the provision of services and complies with the provisions of the North Dakota Human Rights Act.  
 

The City of Williston is an Equal Opportunity Employer. If you are selected for hire, the City will provide a conditional job offer, check your references, and conduct a background review before presenting you with a final job offer and scheduling your orientation. If pre-employment drug-testing; medical testing; credit check; Motor Vehicle Record; or, other background reviews are required, the City generally makes a conditional offer of hire based on successful completion of these additional steps.

Salary : $20 - $35